Individual provider Active NPI

William Oelke

  • Behavior Analyst
  • Hudson, WI
National Provider Identifier
1124481973
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
140-140 Issued in WI
Practice address
2910 Enloe St Ste 103
Hudson, WI 54016-4539
Phone
(715) 808-8555
Fax
(715) 808-8533
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1385 MN
Behavior Analyst 103K00000X 140-140 WI Primary

Addresses

Primary practice location

2910 Enloe St Ste 103
Hudson, WI 54016-4539

Mailing address

2910 Enloe St Ste 103
Hudson, WI 54016-4539
Phone (715) 808-8555

Other names 1

  • Matt Oelke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior, LLC Behavior Analyst CurrentSince Jan 19, 2020 Accepting new patients

Locations

2910 Enloe St
Ste 103
Hudson, WI 54016
Phone (715) 808-8555

901 Dominion Dr
Ste A
Hudson, WI 54016
Phone (715) 808-8070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1124481973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ENLOE ST STE 103",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164539",
            "telephone_number": "715-808-8555",
            "fax_number": "715-808-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 ENLOE ST STE 103",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164539",
            "telephone_number": "715-808-8555",
            "fax_number": "715-808-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELKE",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1385",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "140-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "OELKE",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.